Provider Demographics
NPI:1730114737
Name:JONES, SHAWNDA RENEA (MS, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:SHAWNDA
Middle Name:RENEA
Last Name:JONES
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12337 HANCOCK ST
Mailing Address - Street 2:STE 20
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-5885
Mailing Address - Country:US
Mailing Address - Phone:317-706-6744
Mailing Address - Fax:317-706-6700
Practice Address - Street 1:12337 HANCOCK ST
Practice Address - Street 2:STE 20
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-5885
Practice Address - Country:US
Practice Address - Phone:317-706-6744
Practice Address - Fax:317-706-6700
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001978A101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201163980Medicaid
IN201178980AMedicaid